Month January 2019
CCC Critical Care compendium 340

Cocaine-related Chest Pain

Cocaine is a recreational drug with sympathomimetic effects in additional to being a sodium channel blocker. Cocaine can induce acute coronary syndromes through vasoconstriction, atheroma rupture and/ or dissection

CCC Critical Care compendium 340

Corrosive Ingestion

Corrosive ingestion may be life-threatening due to airway compromise or GI perforation, or due to agent-specific systemic toxicity.

CCC Critical Care compendium 340

Cocaine Toxicity

Cocaine Toxicity potentially life-threatening sympathomimetic syndrome with sodium channel blockade.

CICM Exam Library 340

CICM SAQ 2015.1 Q12

You are called to urgently review a 73-year-old female who is ventilated following admission with severe community-acquired pneumonia. She had a tracheostomy five days ago. She has now acutely desaturated and developed high airway pressures.

CCC Critical Care compendium 340

Sodium Channel Blocker Toxicity

AGENTS NB. phenytoin and sodium valproate do not usually present with features of sodium channel blockade in overdose. CLINICAL FEATURES INVESTIGATIONS SPECIFIC MANAGEMENT AND TRIGGERS FOR INTERVENTION References and Links

CCC Critical Care compendium 340

Sodium Valproate Overdose

Sodium valproate is a commonly used anti-epileptic drug, that come sin standard and enteric coated forms. Toxicity is characterised by metabolic failure, resulting in multi-organ dysfunction and cerebral edema

CCC Critical Care compendium 340

Oxygen and Carbon Dioxide Retention in COPD

Excessive oxygen administration can lead to hypercapnic respiratory failure in some COPD patients. COPD patients with more severe hypoxemia are at higher risk of CO2 retention from uncontrolled O2 administration

CCC Critical Care compendium 340

Compare and Contrast Template

OVERVIEW In the FCICM exam this means ‘describe similarities and differences (e.g. in table form)’ useful to base structure on the key features of the alternatives TEMPLATE ‘AEIOU’ Availability and cost Evidence and place in guidelines Information given (vs gold…